Display options
Share it on

Case Rep Emerg Med. 2011;2011:695320. doi: 10.1155/2011/695320. Epub 2011 Dec 15.

Metastatic prostate cancer mimicking polymyalgia rheumatica.

Case reports in emergency medicine

Charles T Randazzo, Aaron W Bernard, Douglas A Rund

Affiliations

  1. Department of Emergency Medicine, The Ohio State University Medical Center, 4833 Cramblett Hall, 456 W. 10th Avenue, Columbus, OH 43210, USA.

PMID: 23326698 PMCID: PMC3542944 DOI: 10.1155/2011/695320

Abstract

A 59-year-old male presented to the emergency department with a four-month progressive history of proximal muscle pain and weakness with elevated erythrocyte sedimentation rate and C-reactive protein. He was initially diagnosed with polymyalgia rheumatica (PMR) and admitted to the hospital. During his hospitalization he was found to have metastatic prostate cancer, which was thought to be responsible for his PMR-like syndrome. By recognizing the resemblance between metastatic malignancy and rheumatologic diseases, the emergency physician can improve diagnostic accuracy.

References

  1. Arch Intern Med. 1997 Nov 10;157(20):2381 - PubMed
  2. Rheumatology (Oxford). 2003 Feb;42(2):385-7 - PubMed
  3. Intern Med. 2010;49(15):1641-3 - PubMed
  4. Ann Rheum Dis. 1979 Oct;38(5):434-9 - PubMed
  5. Ann Rheum Dis. 1981 Feb;40(1):1-5 - PubMed
  6. Joint Bone Spine. 2006 Dec;73(6):599-605 - PubMed
  7. Palliat Med. 2008 Oct;22(7):872-3 - PubMed
  8. Rheumatology (Oxford). 2010 Jan;49(1):186-90 - PubMed
  9. Arch Intern Med. 1997 Jan 27;157(2):162-8 - PubMed
  10. Lancet. 2008 Jul 19;372(9634):234-45 - PubMed
  11. Reumatol Clin. 2011 May-Jun;7(3):156-60 - PubMed
  12. J Rheumatol. 2000 Sep;27(9):2179-84 - PubMed
  13. J Clin Rheumatol. 1996 Dec;2(6):305-8 - PubMed
  14. Semin Arthritis Rheum. 1984 May;13(4):322-8 - PubMed
  15. Ann Intern Med. 1982 Nov;97(5):672-80 - PubMed
  16. Curr Opin Rheumatol. 2001 Jan;13(1):62-6 - PubMed

Publication Types